Name (Optional)

Email (Optional)

Phone Number (Optional)

How frequently do you visit the Community Center?

• Daily

• Weekly

• Monthly

• Rarely

• First time

What activities or services do you participate in at the Center?

Check all that apply

• Fitness classes

• Arts & crafts

• Educational workshops

• Social events

• Volunteering

How satisfied are you with the Center’s facilities?

• Very satisfied

• Satisfied

• Neutral

• Dissatisfied

• Very dissatisfied

What improvements would you like to see?

Select all that apply

• More activity options

• Updated facilities

• Extended hours

• Better parking

• More social events

Additional Comments